Page 3

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued July 31,2024

Page 3 of H-1050 Replacing November 06, 2023

Revised/added text indicated by underscore

Deleted text indicated by “**” simultaneously. H-1051.1 Determine Assistance Unit

The assistance unit consists of the applicant/beneficiary.

H-1051.2 Establish Categorical Requirements

Verify that the applicant/beneficiary is:

• Aged; • Blind; or • Disabled.

Refer to E-0000 Category.

H-1051.3 Establish Non-Financial Eligibility

Verify eligibility for the applicant/beneficiary with regard to the following factors:

• Assignment of Third Party Rights

I-200 • Citizenship/Identity/Qualified Non-Citizen Status I-300 • Continuity of Stay

I-400 • Enumeration

I-600 • Medical Certification

I-1000 • Residence

I-1900

H-1051.4 Establish Need

Verify the applicant has been offered an opportunity (slot) for HCBS. A. Determine Composition of the Income Unit

The income unit consists of: • The applicant/beneficiary; or • The applicant/beneficiary who is a minor child and the parent(s) with whom the child lived for the month of admission (the month of eligibility listed on the BHSF